Wisconsin
Department of Safety and Professional Services
MACK, TIFFANY L
Physician Assistant
License number
1922-23
Date granted
08/19/2005
Date expires
02/28/2014
Class
Physician Assistant
Status
Active
wisconsinlicensing.org
ID 12800376
LAST UPDATED 2024-04-19 01:43:16 UTC
LAST UPDATED 2024-04-19 01:43:16 UTC
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